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MARY BETH NEISEN FNP-BC
NPI 1861703548
Nurse Practitioner - Family in Monticello, MN

Active since June 28, 2010
9766 FALLON AVE NE STE 102, MONTICELLO, MN 55362(763) 272-1500(763) 272-1503 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2016, Feb 8, 2016 (2 updates tracked since 2016).

About Mary Beth Neisen Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETH NEISEN FNP-BC (NPI 1861703548) is an individual family provider in Monticello, Minnesota, licensed in Minnesota (R89486-3) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1861703548
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY BETH NEISENCredential: FNP-BC
Location Address9766 FALLON AVE NE STE 102Monticello, MN 55362-4589
Mailing Address9766 Fallon Avenue Suite 102Monticello, MN 55362-4589 · (763) 272-1500 · Fax (763) 272-1503
Phone(763) 272-1500
Fax(763) 272-1503
Sole ProprietorNo
Enumeration DateJune 28, 2010
Last NPPES UpdateApril 7, 20162 updates tracked since enumeration
✔ NPI 1861703548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R89486-3
9766 FALLON AVE NE STE 102, Monticello, MN 55362
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAREEN DERMATOLOGY, PA
Non-Pharmacy Dispensing Site
9766 FALLON AVE NE STE 102
MONTICELLO, MN 55362
Wright County (651) 633-6883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Neisen's NPI number?

The NPI number for Mary Neisen is 1861703548. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Mary Neisen located?

Mary Neisen practices at 9766 Fallon Ave NE Ste 102, Monticello, MN 55362. The listed phone number is (763) 272-1500.

What is Mary Neisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Neisen was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.